Provider Demographics
NPI:1366541344
Name:PLATTE RIVER REHAB
Entity type:Organization
Organization Name:PLATTE RIVER REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:R
Authorized Official - Last Name:RITCHEN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:303-659-9070
Mailing Address - Street 1:36 S 18TH AVE STE C
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-2452
Mailing Address - Country:US
Mailing Address - Phone:303-659-9070
Mailing Address - Fax:
Practice Address - Street 1:36 S 18TH AVE STE C
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-2452
Practice Address - Country:US
Practice Address - Phone:303-659-9070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty